Individual
KISHAN B PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
400 WESTHAMPTON STA, RICHMOND, VA 23226-3330
(804) 287-4200
(804) 282-4048
Mailing address
400 WESTHAMPTON STA, RICHMOND, VA 23226-3330
(804) 287-4200
(804) 282-4048
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003422
VA
152W00000X
Optometrist
10962
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36492255
STATE OF TEXAS
TX
Enumeration date
07/24/2023
Last updated
10/14/2024
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